Healthcare Provider Details

I. General information

NPI: 1841417151
Provider Name (Legal Business Name): IOWA NORTHLAND REGIONAL TRANSIT COMMISSION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

229 E PARK AVE
WATERLOO IA
50703-4621
US

IV. Provider business mailing address

229 E PARK AVE
WATERLOO IA
50703-4621
US

V. Phone/Fax

Practice location:
  • Phone: 319-235-0311
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347B00000X
TaxonomyBus
License Number
License Number State

VIII. Authorized Official

Name: SHARON JUON
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 319-235-0311